I've done lots of reading on this because my first was posterior. It was a very difficult birth. It moved quickly at first, and then stalled. I had involuntary pushing that was causing my cervix to swell (i.e., close up). I ended up transferring to the hospital for an epidural. I got to a point where it was so painful I just wanted to "get it out." Thank goodness for the epidural -- it allowed me to refocus and eventually deliver vaginally. Total 18 hour labor.
So, what I've found from my reading is that MOST babies that start out posterior actually DO turn!! There was an article cited on the spinning babies website and I looked it up. Only about 8-10 percent of births are posterior, all said and done. It is rare for them to turn posterior during labor, but even that can happen.
The other thing I have to recommend is no AROM!! Give them as much a chance as you can during labor to turn. It is when I got AROM that things turned for the worse.
Third, the Birth Partner and Spinning Babies both have suggestions on what to do DURING labor to help baby turn. They suggest the following:
- lunging
- climbing stairs
- laying on one side for 1 hr, then turning to the other for 1 hr, etc.
I'm sure there's more, but you can look it up. Of course, you can keep trying while you're still pregnant with the other techniques on spinning babies.
I think whether a posterior birth is terribly difficult depends on a lot of things. For sure, the baby is facing a little bit differently, so the wider part of his head goes through. If you have a baby with a big head, it's all the more difficult (mine was 90 percentile).
Anyway, try to prepare yourself with positions that will help during labor, and try to be at peace with that being a real possibility. Hopefully, you'll be pleasantly surprised with the outcome.